The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited October 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
Nursing home report
COTTAGES OF LAKE ST LOUIS
LAKE SAINT LOUIS, MO · Medicare-certified · 60 beds
In good standing
For-profit
4 of 5 overall
4 out of 5 stars overall. Cottages of Lake St Louis is rated 4 stars across health inspections, staffing, and quality measures, has reported nurse staffing above the federal benchmark (5.81 vs. 4.1 hours per resident per day), and had no fines in the last 24 months; recent inspection citations included pressure ulcer care, infection prevention and control, and food handling standards.
Facility ratings
Health inspections
Staffing
5.8124 hrs/resident/day
Quality measures
Last inspection: February 4, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 5.8124.
Staffing detail
- Registered nurses
- 0.72
- Licensed practical nurses
- 1.42
- Nurse aides
- 3.68
- Weekend nursing
- 5.43
Hours per resident per day.
Total staff turnover: 53%
Registered nurse turnover: 46%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
3.3%Steady
Residents with a fall causing major injury
2.9%Improving
Residents with pressure ulcers (bedsores)
10.6%Worsening
Residents with a urinary tract infection
5.7%Improving
Residents who lost too much weight
12.3%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
15.8%Steady
Residents whose ability to walk got worse
17.9%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
23.5%Improving
Short-stay residents newly given an antipsychotic
0.9%Steady
Residents with a long-term catheter
7.4%Improving
Residents with new or worsening incontinence
30.5%Improving
Residents with depressive symptoms
10.7%Improving
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
98.1%Improving
Short-stay residents given the seasonal flu vaccine
95.3%Steady
Short-stay residents given the pneumonia vaccine
95%Steady
What the inspectors found
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited July 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited October 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to provide proper bladder and bowel care, including catheter care and steps to prevent urinary tract infections. Cited July 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 690 — 42 CFR §483.25(e) — S/S: E
The nursing home failed to provide services that met professional standards of quality. Cited February 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: D
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $17,696 in total fines.
- $17,696
Federal fine
Oct 12, 2023
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Occupancy
- 54.9 residents on an average day (91% of 60 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 9 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.